PBM Contract Operations Analyst at Navitus Health Solutions

Job description

Lumicera Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. ._____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at employees-navitus.icims.com to be considered for internal opportunities. ______________________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap. USD $60,214.30 - USD $72,547.34 /Yr. 7.50 - Salaried Non-Management except pharmacists M-F 8am to 5pm ATTENTION: Lumicera is only able to offer remote work to residents of Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin Due to growth, we are adding an Analyst, Contract Operations to our team . The ideal candidate for this position will have experience with PBM's and rebate analytics. The Analyst, Contract Operations is responsible for operational aspects of Lumicera’s discount programs including, but not limited to contract compliance through direct pharmaceutical manufacturers, third party entities, contract optimization, contract reconciliation and reporting, sales and request for proposal (RFP) support, internal and external audit support, and client operations. Is this you? Find out more below! How do I make an impact on my team? • Understand plan formulary design and contracting potentials for client specific set ups. • Analyze claims data to ensure the accuracy of contract processing, direct contracts with pharmaceutical manufacturers, and establish recommendations to clients for contract optimization. • Provide sales and request for proposal (RFP) support for prospective clients, client renewals, and market checks. Work closely with the Lumicera Finance and Underwriting teams to assist with evaluating contracts and manage risk in pricing. • Support contract review, data entry, evaluation, and reconciliation of Lumicera client contract financial guarantees. • Understand the department and customer business needs and facilitate successful delivery of information for decision-making. • Serve as direct contact for Lumicera Client Services attending client calls as needed regarding client specific contract reporting, guarantee questions, and data analysis. • Coordinate with Analytics on the maintenance of the Lumicera Contract reporting environments. Assist in managing new contract program initiatives and the expansion of contract forecasting. • Serve as the Lumiceraa representative and subject matter expert for Lumicera audits, to include internal, external, manufacturer, client, and regulatory program audits. • Lead and coordinate Government-related or regulated reporting for internal use and client requirements. • Review Discount strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the contract processing system, and correctly allocate payments. • Other duties as assigned. What our team expects from you? • Bachelor’s degree required. • Pharmacy technician license preferred. • 3-5 years of managed care/pharmacy benefits management or pharmaceutical experience required. • Pharmacy technician, trade, Industry Relations, and/or analytical experience preferred. • Participate in, adhere to, and s upport compliance program objectives. • The ability to consistently interact cooperatively and respectfully with other employees. What can you expect from Lumicera? • Top of the industry benefits for Health, Dental, and Vision insurance • 20 days paid time off • 4 weeks paid parental leave • 9 paid holidays • 401K company match of up to 5% - No vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan and Professional Membership assistance • Referral Bonus Program – up to $750! #LI-Remote Remote US

Requirements

Must-haves

USD $60,214.30 - USD $72,547.34 /Yr.
7.50 - Salaried Non-Management except pharmacists
M-F 8am to 5pm
Due to growth, we are adding an Analyst, Contract Operations to our team .
The ideal candidate for this position will have experience with PBM's and rebate analytics.
Is this you? Find out more below!
How do I make an impact on my team?
Understand plan formulary design and contracting potentials for client specific set ups.
Analyze claims data to ensure the accuracy of contract processing, direct contracts with pharmaceutical manufacturers, and establish recommendations to clients for contract optimization.
Support contract review, data entry, evaluation, and reconciliation of Lumicera client contract financial guarantees.
Understand the department and customer business needs and facilitate successful delivery of information for decision-making.
Serve as direct contact for Lumicera Client Services attending client calls as needed regarding client specific contract reporting, guarantee questions, and data analysis.
Coordinate with Analytics on the maintenance of the Lumicera Contract reporting environments. Assist in managing new contract program initiatives and the expansion of contract forecasting.
Serve as the Lumiceraa representative and subject matter expert for Lumicera audits, to include internal, external, manufacturer, client, and regulatory program audits.
Lead and coordinate Government-related or regulated reporting for internal use and client requirements.
Review Discount strategy and pharmaceutical manufacturer contracts to accurately set up and maintain parameters in the contract processing system, and correctly allocate payments.
Other duties as assigned.
What our team expects from you?
Bachelor’s degree required.
3-5 years of managed care/pharmacy benefits management or pharmaceutical experience required.
Participate in, adhere to, and s upport compliance program objectives.

Nice-to-haves

Pharmacy technician license preferred.
Pharmacy technician, trade, Industry Relations, and/or analytical experience preferred.
Referral Bonus Program – up to $750!

Application prep

Use the role’s language and application details while tailoring your materials.

Platform: icims
Effort: medium

Benefits

Benefits detected in the listing.

Dental

Vision

401k

Paid Time Off

Parental Leave